The idea and method of microscopic syndrome differentiation of ulcerative colitis under colonoscopy were discussed based on the theory of Weiqi ying blood and narrow-band imaging amplification endoscopy
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摘要: 溃疡性结肠炎(ulcerative colitis,UC)是一种非特异性、慢性的炎症性肠病,近年来其发病率和患病率呈增长趋势,中医药在UC各阶段治疗中发挥着重要作用,疗效显著,相关研究表明,UC病情演变规律病机变化符合卫气营血病情演变规律病机变化,本文以卫气营血辨证思维方法为切入点,将窄带成像放大内镜观察到的临床资料提炼、总结并归纳于卫气营血辨证体系中,对UC的本质属性及疾病特点进行新的诠释,以镜为眼,把内镜作为中医望诊的延伸,使UC辨证客观化,丰富UC中医望诊的内容。Abstract: Ulcerative colitis(UC) is a non-specific and chronic inflammatory bowel disease(IBD). Its incidence and prevalence have increased in recent years. Traditional Chinese Medicine plays an important role in the treatment of UC at all stages. However, for some patients, intestinal manifestations observed under the endoscope are inconsistent with clinical symptoms collected through the four diagnostic methods of Traditional Chinese Medicine, causing difficulties in clinical Traditional Chinese Medicine syndrome differentiation. Studies have shown that the pathogenesis of UC disease evolution is consistent with the pathogenesis of Weiqi ying blood. This paper takes the thinking method of syndrome differentiation of Weiqi ying blood as the starting point. The clinical data observed by magnifying endoscopy with narrow-band imaging(ME-NBI) was summarized and summarized in the syndrome differentiation system of Weiqi ying blood, and the essential attributes and disease characteristics of UC were interpreted. The lens was taken as the eye. Taking endoscopy as an extension of Traditional Chinese Medicine observation, objectified the syndrome differentiation of UC and enriched the contents of Traditional Chinese Medicine observation of UC.
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